Individual
DR. ALISA A. LOSASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT STREET EAST, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8830
(215) 861-8833
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD074378L
PA
208D00000X
General Practice Physician
Primary
MD074378L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019062780007
—
PA
Enumeration date
10/13/2005
Last updated
09/02/2011
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